title: Long term patient satisfaction and quality of life with AMS700CX inflatable penile prosthesis.
abstract: OBJECTIVE
  Penile prosthesis implantation is the solution of choice in patients who have failed or present contraindication to the use of all conservative treatment for erectile dysfunction (ED). Overall, satisfaction rates are high, with more than 80% of patients and partners fully satisfied with cosmetic and functional result of surgery. Chronic postoperative pain, penile shortening, soft or hyposensitive glans, pencil like penis syndrome and difficulty to cycle the device represent the most common causes of patient's dissatisfaction. Satisfaction rates are better assessed with the use of validated questionnaires such as the International Index of Erectile Function (IIEF) and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) The aim of our study was to analyze the long-term mechanical reliability of the AMS 700CX/CXM inflatable penile prosthesis and the patient's satisfaction rate using IIEF and EDITS questionnaire as standard reference.
  
  
  METHODS
  A retrospective case notes review of all patients who have undergone implantation of a three pieces inflatable penile prosthesis AMS 700 CX and CXR between October 1997 and December 2010. Overall, 80 patients have undergone implantation of 3 pieces inflatable penile prosthesis AMS 700 CX InhibiZone. Patients have been administered the IIEF-5 and EDITS questionnaires in combination with a non validated 9 domain questionnaire that assesses penile rigidity, sensation, orgasmic function, frequency of intercourse, impact of surgery on the quality of life, satisfaction rate.
  
  
  RESULTS
  Overall 10 years survival estimate according to the Kaplan Meier method of AMS 700 CX touch pump and AMS 700 CX momentary squeeze pump are respectively 77.6% and 82.5%. The median postoperative IIEF5 and EDITS score were respectively 21.46 and 73.11, which show a high level of satisfaction. 59 patients (90.8%) were able to cycle the device and were engaging in penetrative sexual intercourse.
  
  
  CONCLUSIONS
  Penile prosthesis implantation yields excellent results in terms of cosmetic and functional outcome and therefore has a significant impact on patients' satisfaction, sex life and overall quality of life. Overall, long term reliability has been significantly improved and complication rates are low in the hands of experienced surgeons.
authors.affiliation: Department of Urology, University "La Sapienza", Rome. stefi_sal77@tiscali.it.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vitarelli
authors.forename: Lucia
authors.initials: L
authors.lastname: Divenuto
authors.forename: Francesca
authors.initials: F
authors.lastname: Fortunato
authors.forename: Antonio
authors.initials: A
authors.lastname: Falco
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Pagliarulo
authors.forename: Gabriele
authors.initials: G
authors.lastname: Antonini
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Gentile
authors.forename: Alessandro
authors.initials: A
authors.lastname: Sciarra
authors.forename: Stefano
authors.initials: S
authors.lastname: Salciccia
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sansalone
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Di Placido
authors.forename: Giulio
authors.initials: G
authors.lastname: Garaffa
authors.forename: Arcangelo
authors.initials: A
authors.lastname: Pagliarulo
mesh_terms: D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis; D011474:Prosthesis Design; D011788:Quality of Life; D015203:Reproducibility of Results; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors